Lloyd’s

Cash Insurance P.U.A. LTD, No.20 Homer Avenue, 3

rd floor 1097 Nicosia

Proposal for Cash Insurance

The Underwriters Insure Money:

In Transit between the Insured's premises and Bank or Post Office.

In custody of collectors whilst in transit until delivered at Insured's premises or Bank.

Other specified transits.

In the Office During business hours.

In locked safe or strongroom out of business hours.

The term "MONEY" shall mean Bank Notes, Currency Notes, Current Coin, Postal Orders, Money Orders and Current

Postage Stamps.

Money drawn from the Bank for the payment of wages and salaries is covered whilst in transit and until paid out provided

that all money not paid away on the same day as drawn is kept in a locked safe or strongroom out of business hours.

Money in the custody of employees is covered whilst in transit from the time of receipt from customers provided it is

delivered to the Insured's premises or Bank on the same day as received.

Theft by employees is not covered.

Damage to safes or strongrooms by theft or attempt thereat is included.

The Policy does not cover War and kindred risks, Riot and Civil Commotion, shortages due to errors or omissions,

depreciation in value or any loss recoverable under a Fidelity Guarantee effected by or on behalf of the Insured.

A premium will be quoted on receipt of a completed Proposal Form.

Name of Proposer (in full): Address: The Premises (to which insurance is to apply): Business: ___________________________________________________________________________________________________________

"MONEY" shall mean Bank Notes, Currency Notes, Current Coin, Cheques, Postal Orders, Money Orders and Current

Postage Stamps.

M O N E Y I N T R A N S I T

Limit of Liability Maximum amount carried any one

time

Estimated Annual Carrying

A

BANK TO PREMISES

(1) Money drawn from Bank and/or Post Office for payment of wages and salaries (If wages and salaries are not paid on the day drawn from the Bank and/or Post Office, state maximum amount of such monies held in locked safe or strong room out of business hours (if none, state "Nil") (2) Money (other than wages and salaries) drawn from Bank and/or Post Office

B

PREMISES TO BANK

Money in transit from Proposer's Premises to Bank and/or Post Office

C

TRAVELERS AND

COLLECTORS

Money (other than A and B above) collected by employees for delivery to Proposer's Premises or Bank subject to delivery being made on the same day as received

D

OTHER TRANSIT

M O N E Y O N T H E P R E M I S E S ( o t h e r t h a n u n d e r A )

F

DURING BUSINESS HOURS

Money (other than described in Section A (1) above) whilst contained in the Proposer's Office Premises during business hours. State maximum amount

G

OUTSIDE BUSINESS HOURS

Money (other than described in Section A (1) above) whilst contained in a locked safe or strong room in the Proposer's premises out of business hours. Give total sum

E

OTHER

Please give particulars of safe and strong rooms in which money is contained out of business hours

Maker's Name and Number

Size and Weight Whether marked "Thief Resisting"

Whether fixed to floor or wall

Value of safe Maximum amount of money therein

1. Please state for Transits A and B (a) The frequency of the journeys (b) Method of conveyance (c) Maximum distance (d) Number of employees engaged at any one time

2. What precautions are taken to ensure the safety of money on the premises during business hours?

3. Are the Premises occupied at night? If so, by whom?

4. Do you hold any Fidelity Guarantee on your employees? If so with whom?

5. Have you ever sustained the loss of any money? If so, please give details.

6. Have you had an insurance in respect of loss of money declined, canceled or subjected to special terms by an Insurer? If so, please give particulars.

DECLARATION: Please read, sign and date the following. Please note that any omission or mis-statement of material fact in the Proposal Form could affect payment under this Policy or make the Policy invalid. A material fact is one that is likely to influence the assessment and acceptance of this Proposal. If you are in doubt about whether or not a fact is material, you should disclose it. I/We declare that the answers given in the Proposal are true to the best of my/our knowledge and I/we have withheld no information whatever which might influence the decision of the Underwriters regarding the Proposal. I/We agree that if any information has been given by any person other than myself/ourselves that person is my/our agent for that purpose. I/We agree that the Proposal shall be incorporated in and shall form the basis of the contract between me/us and the Underwriters and I/we shall accept a policy in the form issued by the Underwriters for the Insurance now proposed. I/We agree to inform the Underwriters of any material change in the risk.

The Processing of Personal Data (Protection of Individuals) Law 138(I) of 2001 In accordance with the provisions of the above Law, the Underwriters and their associates, in their capacity as Controller within the meaning of the Law, wish to advise the Proposer that inπorder to issue the Insurance Contract it is necessary to collect and process personal data. The personal data will be recorded in an electronic or any other form to the personal data filing system, within the meaning of the Law, maintained by the Underwriter and/or his associates. The recipients of the personal data shall be the duly athorised personnel of the Underwriter and/or their associates. The Proposer has the right of access to and rectification of the data relating to him as well as the right of objection to the processing of such data. I acknowledge and declare that the Underwriters and/or their associates have informed me of the provisions of this Law. Furthermore, by signing this Declaration I hereby grant my express consent to the Underwriters and/or their associates to collect and process data relating to myself, which may also include sensitive data, and to maintain such data in their personal data filing system, within the meaning of the Law. Signature(s): Date:

Note: The cover does not commence until the Proposal is accepted by the Underwriters and the First Premium is paid.

The Riverside Forum, G.Floor,

2A Ioanninon & Cheilonos Str 1101 Nicosia P.O.Box 25045, 1306 Nicosia, Cyprus T: +357 22353625, F: +357 22353516 e-mail: info@pminsurancebrokers.com www.pminsurancebrokers.com

Pafos Branch: Office No. 2, 74 Apostolos Pavlos Avenue 8046 Kato Paphos Tel.:+357 26930317 Fax:+357 26930329 e-mail: status@pminsurancebrokers.com

UK Branch 8-11 Crescent, London EC3N 2LY Tel.: +44 (0)20 7480 1098 Fax: +44 (0)207480 1277 e-mail: ukinfo@pminsurancebrokers.com

Prodromou & Makriyiannis Insurance Underwriting Agencies & Consultants Ltd

The Riverside Forum, Ground Floo2, 2A Ioanninon & Cheilonos Streets 1101 Nicosia – Postal Address: P.O.Box 25045 , 1306 Nicosia

Prodromou & Makriyiannis Insurance Underwriting Agencies & Consultants Ltd

The Processing of Personal Data

General Data Protection Regulation – GDPR

Who we are: We are Prodromou & Makriyiannis Insurance Underwriting Agents and Consultants Ltd, with main offices at The

Riverside Forum, Ground Floor, 2A Ioanninon & Cheilonos Streets, 1101 Nicosia, P.O.Box25045, 1306 Nicosia (hereinafter called “the

company”), identified in the contract of insurance and/or in the certificate of insurance. We collect and processing relevant personal

data about you to provide you with your insurance cover and to meet our legal obligations.

Processing of Personal Data: includes the collection, recording,

organisation, preservation, storage, alteration, extraction, use, transmission, dissemination or any other form of disposal, correlation

or combination, blocking, erasure or destruction of Data. The way insurance works means that your information may be shared with and used by a number of third parties in the insurance sector such

as: Assignment to other organizations, transmission of Data to Insurers, Reinsurers, Agents, Brokers, Loss Adjusters, Regulators,

Law Enforcement agencies, fraud and crime prevention and detection agencies and compulsory insurance databases, Doctors/ Specialists/ Labs, Lawyers, Accountants, Auditors, Actuaries,

Engineers, Contractors, Garages and other relevant professionals. We will only disclose your personal information in connection with

the insurance cover that we provide to the extent required or permitted by law.

Data Recipients and Transmission of Data abroad: Recipients

of Data shall be the authorized personnel of the Company and/or their associates and/or principals and/or any insurer/underwriter on

behalf of which they operate or represent and/or any party that is associated or has a contractual agreement with the company,

including any intermediary, which acts under the control of the company and complies with the principles of confidentiality. For the above purposes, the company may transmit data to other countries

inside and outside the E.U.

Rights of the Data Subject: You have rights in relation to the

information the company holds about you, including the right to access the information. If you wish to exercise your rights, discuss how the company uses the information or request a copy of the full

privacy notice, please contact us at dpo@pminsurancebrokers.com or +357 22761010.

What more information: For more information about how we use your personal information please see our full privacy notice, which is available online on our website

http://www.pminsurancebrokers.com/privacy-policy/ or in other formats on request.

Other people’s details you provide to us: Where you provide us with details about other people, you must provide this notice to

them.

Επεξεργασία δεδομένων προσωπικού χαρακτήρα

Γενικός Κανονισμός για την Προστασία Δεδομένων – ΓΚΠΔ

Ποιοι είμαστε: Prodromou & Makriyiannis Insurance Underwriting Agents and Consultants Ltd, με κεντρικά γραφεία στο The Riverside Forum, Ground Floor,

Ισόγειο, Οδός Ιωαννίνων & Χείλωνος 2Α, 1101 Λευκωσία, Τ.Θ. 25045, 1306 Λευκωσία (εφεξής "η Εταιρεία"), αναγνωρισθείς σε σύμβαση ασφάλισης ή/ και

στο πιστοποιητικό ασφάλισης. Συλλέγουμε και επεξεργαζόμαστε τα προσωπικά σας δεδομένα για να σας παρέχουμε την ασφαλιστική κάλυψη και για να εκπληρώσουμε τις νομικές μας υποχρεώσεις.

Επεξεργασία Προσωπικών Δεδομένων: Η επεξεργασία των προσωπικών δεδομένων περιλαμβάνει τη συλλογή, καταγραφή, οργάνωση, διατήρηση,

αποθήκευση, μετατροπή, εξαγωγή, χρήση, μετάδοση, διάδοση ή οποιαδήποτε άλλη μορφή διάθεσης, συσχέτισης ή συνδυασμού, αποκλεισμού, διαγραφής ή

καταστροφής δεδομένων. Ο τρόπος με τον οποίο οι ασφαλιστικές εταιρείες δουλεύουν, σημαίνει ότι οι πληροφορίες σας μπορούν να μοιράζονται και να χρησιμοποιούνται από έναν αριθμό τρίτων στον ασφαλιστικό τομέα, όπως:

Ανάθεση σε άλλους οργανισμούς, μετάδοση δεδομένων σε ασφαλιστές, αντασφαλιστές, πράκτορες, μεσίτες, εκτιμητές, φορείς επιβολής του νόμου,

υπηρεσίες απάτης και πρόληψης και εντοπισμού εγκλήματος και βάσεις υποχρεωτικής ασφάλισης, γιατροί /χημικοί/ χειρούργοι, δικηγόροι, λογιστές, ελεγκτές, αναλογιστές, μηχανικοί, εργολάβοι και άλλους συναφείς

επαγγελματίες. Θα αποκαλύψουμε μόνο τα προσωπικά σας στοιχεία σε σχέση με την ασφαλιστική κάλυψη που παρέχουμε στον βαθμό που απαιτείται ή

επιτρέπεται από το νόμo.

Αποδέκτες δεδομένων και μετάδοση δεδομένων στο εξωτερικό: Οι παραλήπτες δεδομένων είναι το εξουσιοδοτημένο προσωπικό της Εταιρείας ή /

και οι συνεργάτες ή / και οι εντολοδόχοι τους και / ή οποιοσδήποτε ασφαλιστής / ασφαλιστής για λογαριασμό του οποίου λειτουργούν ή εκπροσωπούν και / ή

οποιοδήποτε μέρος που συνδέεται ή έχει συμβατική συμφωνία με την εταιρεία, συμπεριλαμβανομένου οποιουδήποτε διαμεσολαβητή, ο οποίος ενεργεί υπό τον έλεγχο της εταιρείας και συμμορφώνεται με τις αρχές της εμπιστευτικότητας.

Για τους παραπάνω σκοπούς, η εταιρεία μπορεί να διαβιβάσει δεδομένα σε άλλες χώρες εντός και εκτός της Ε.U.

Δικαιώματα του υποκειμένου δεδομένων: Έχετε δικαιώματα σε σχέση με τις πληροφορίες που διατηρεί η εταιρεία σχετικά με εσάς,

συμπεριλαμβανομένου του δικαιώματος πρόσβασης στις πληροφορίες. Εάν επιθυμείτε να ασκήσετε τα δικαιώματά σας, να συζητήσετε πώς η εταιρεία χρησιμοποιεί τις πληροφορίες ή να ζητήσετε αντίγραφο της πλήρους δήλωσης

απορρήτου, επικοινωνήστε μαζί μας στη διεύθυνση dpo@pminsurancebrokers.com ή +357 22761010.

Περισσότερες πληροφορίες: Για περισσότερες πληροφορίες σχετικά με τον τρόπο χρήσης των προσωπικών σας στοιχείων, ανατρέξτε στην πλήρη ειδοποίηση περί απορρήτου (Privacy Notice), η οποία είναι διαθέσιμη στον

ιστότοπό μας http://www.pminsurancebrokers.com/privacy-policy/ ή σε άλλες μορφές κατόπιν αιτήματος.

Στοιχεία τρίτων που μας παρέχετε: Όπου μας παρέχετε λεπτομέρειες σχετικά με άλλα άτομα, πρέπει να δώσετε αυτήν την ειδοποίηση σε αυτούς.

CONSENT FOR THE PROMOTION OF SERVICES AND OFFERS

I agree and accept to receive information about the

services of the Company including all the products sold and offers made by the Company.

I do not wish to receive any information regarding

Special Offers or additional services/products sold

ΣΥΓΚΑΤΑΘΕΣΗ ΓΙΑ ΠΡΟΩΘΗΣΗ ΥΠΗΡΕΣΙΩΝ ΚΑΙ ΠΡΟΣΦΟΡΩΝ

Συμφωνώ και αποδέχομαι να μου αποστέλλονται πληροφορίες

σχετικά με τις υπηρεσίες που παρέχει η Εταιρεία περιλαμβανομένων των προϊόντων και των Προσφορών της.

Δεν επιθυμώ να λαμβάνω πληροφορίες σχετικά με Ειδικές

Προσφορές ή άλλα προϊόντα της Εταιρείας.

Name/Όνομα: ID/Αρ. Δελτίου Ταυτότητας

Signature/Υπογραφή: Date/Ημερομηνία: